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Hello Young Citizen!

Please fill out this form to register for Young Citizens and so that we may start to build your online profile. Don't forget to attach a signed copy of the Student Permission and Media Release Form.

The Young Citizens profiles will be posted on the website in time for the start of the vote.

Be sure to read the Rules for creating your video.

If you have any questions, don't hesitate to contact us at YoungCitizens@canadashistory.ca.

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First name

Last name

Gender

Grade

Age

Home address

City

Province

Postal Code

Email address

Phone Number

School name

Heritage Fair Name

Language spoken at home

Please indicate if you identify with any of the following groups

First Nations, Inuit or Métis

Official Language Minority

Visible Minority

Persons with disability

Project title

Project Description

Project Language

English

French

Other

What important lessons have you learned that you want to share with other Canadians?

What was the most interesting thing you learned about your topic?

How would you compare your life today to the lives of those studied in your project?

Please attach a headshot of yourself

Please select a file

Please attach a signed copy of the Student Permission Form

Please select a file

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Registration